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</head>

<body class="ng-scope">
<div class="content container">
    <div>
        <div class="nav nav-pills div-nav">
            <div class="m-nav-item" style="width: 50px;text-align: center;margin-top: 7px;">
                <a href='https://open.weixin.qq.com/connect/oauth2/authorize?appid=wx64dc908e6954fcdc&redirect_uri=http%3A%2F%2Fszjlxh.com%2Fwechatshop%2Fhandle_wechat_oauth_code%3Fredirect%3D%2F&response_type=code&scope=snsapi_base&connect_redirect=1#wechat_redirect'>
                    <span class="nav-back-icon"></span>
                </a>
            </div>
            <div class="m-nav-item m-nav-second-final-item" role="presentation">
                <a style="text-align: center;" class="border-nav-title">商户申请</a>
            </div>
        </div>

        <div class="form-padding">
            <form class="form-horizontal" method='post'
                  action='/weiphp/Addons/Weishop/shop/admin/index.php?route=catalog/apply/add'>
                <div class="form-group">
                    <label class="col-sm-2 control-label">姓名:</label>

                    <div class="col-sm-10">
                        <input type="text" class="form-control" name="apply_name" placeholder="您的姓名">
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-sm-2 control-label">电话:</label>

                    <div class="col-sm-10">
                        <input type="text" class="form-control" name="tel" placeholder="您的电话或手机号">
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-sm-2 control-label">商铺名称:</label>

                    <div class="col-sm-10">
                        <input type="text" class="form-control" name="shop_name" placeholder="商铺名称">
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-sm-2 control-label">商铺地址:</label>

                    <div class="col-sm-10">
                        <input type="text" class="form-control" name="address" placeholder="商铺地址">
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-sm-2 control-label">申请信息:</label>

                    <div class="col-sm-10">
                        <textarea class="form-control" rows="3" name="info" placeholder="申请信息"></textarea>
                    </div>
                </div>
                <div class="form-group">
                    <div class="col-sm-offset-2 col-sm-10">
                        <button type="submit" class="btn btn-default" style="width: 100%">申请商铺</button>
                    </div>
                </div>
            </form>
        </div>
    </div>
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                分类
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